MALLORY K BENKERT (Credential# 1200780) is licensed (Registered Nurse) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
MALLORY K BENKERT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #10.118385. The credential type is registered nurse. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 34 Schoolhouse Dr Unit 206, West Hartford, CT 06110. The current status is active.
| Licensee Name | MALLORY K BENKERT |
| Credential ID | 1200780 |
| Credential Number | 10.118385 |
| Credential Type | Registered Nurse |
| Business Address |
34 Schoolhouse Dr Unit 206 West Hartford CT 06110 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2014-05-01 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1619333 | 12.008015 | Advanced Practice Registered Nurse | 2018-12-14 | 2020-06-01 - 2021-05-31 | ACTIVE |
| 1631794 | CSP.0070252 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-02-14 | 2019-02-14 - 2021-02-28 | ACTIVE |
| 1202366 | 10.115990-TEMP | Registered Nurse - Temporary | 2014-01-15 | 2014-01-15 - 2014-05-14 | INACTIVE |
| Street Address | 34 SCHOOLHOUSE DR UNIT 206 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06110 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Diem Thuy Nguyen | 25 Brian Road, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2022-02-28 |
| Dominick E Deslauriers | 67 Red Top Drive, West Hartford, CT 06110 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Markos Raptis Dds | 61 Park Place Circle, West Hartford, CT 06110 | Dentist | 2020-07-01 ~ 2021-06-30 |
| Keith A Dumond | 83 Mayflower Street, West Hartford, CT 06110 | Real Estate Salesperson | 2020-06-23 ~ 2021-05-31 |
| Yayan Tong | 6 Steven St, West Hartford, CT 06110 | Nail Technician | ~ |
| Apsara Thapa | 15 Lewis Lane, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Aneudi J Rodriguez Perez | 24 Elmhurt Circle, West Hartford, CT 06110 | Real Estate Salesperson | ~ |
| Frances B Gurtman Md | 445 S Main Street, West Hartford, CT 06110 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Diana M Rodriguez | 445 South Main St, West Hartford, CT 06110 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Jong Lee | 6 Timothy, West Hartford, CT 06110 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06110 | |||
| City | WEST HARTFORD |
| Zip Code | 06110 |
| License Type | Registered Nurse |
| License Type + County | Registered Nurse + WEST HARTFORD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Robert Mallory · Robert Mallory-builders | 70 Town Hill Rd, New Hartford, CT 06057 | Home Improvement Contractor | 2008-12-01 ~ 2009-11-30 |
| Mallory Costabile · Miss Mallory's | 73 West Shore Drive, Enfield, CT 06082 | Real Estate Salesperson | ~ |
| Mallory I Ducharme | Psc 37 Box 2703, Apo, AE 09459 | Registered Nurse | 2019-09-01 ~ 2020-08-31 |
| Mallory Brothers Construction | 39 Elmore Rd, Norfolk, CT 06058 | Home Improvement Contractor | 1999-12-01 ~ 2000-11-30 |
| Kerra A Paternoster | 6 Mallory Rd, Watertown, CT 06795-2773 | Registered Nurse | 2019-08-01 ~ 2020-07-31 |
| Mallory Mccarthy | 481 Church St, Brownville, ME 04414-3529 | Registered Nurse | 2016-03-09 ~ 2016-07-31 |
| Mallory Bea Gordon | 151 Andrew Ave Apt 236, Naugatuck, CT 06770-4346 | Registered Nurse | 2019-12-01 ~ 2020-11-30 |
| Maureen A Singer | 111 Mallory Rd, Roxbury, CT 06783 | Registered Nurse | 2019-11-01 ~ 2020-10-31 |
| Mallory Peck | 146 Quassuk Rd, Woodbury, CT 06798-2901 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Mallory Edrich | 86 Norwood Rd, West Hartford, CT 06117-2236 | Registered Nurse | ~ |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).